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Under IRDAI guidelines, which of the following is NOT a valid exclusion in health insurance policies?

hard Q10 of Q15
Insurance Awareness - Health Insurance
Under IRDAI guidelines, which of the following is NOT a valid exclusion in health insurance policies?
AClaims arising from self-inflicted injuries or attempted suicide after 2 years of policy inception
BTreatment for injuries sustained during war or nuclear risks
CCosmetic or plastic surgery unless medically necessary
DPre-existing diseases during the waiting period
Step-by-Step Solution
  1. Step 1: Review IRDAI exclusions

    IRDAI excludes war injuries, cosmetic surgeries (unless medical necessity), and pre-existing diseases during waiting period.
  2. Step 2: Analyze self-inflicted injury exclusion

    Self-inflicted injuries or suicide attempts are excluded only during the first 12 months (1 year), not after 2 years.
  3. Step 3: Identify incorrect exclusion

    Claims arising from self-inflicted injuries or attempted suicide after 2 years of policy inception states exclusion after 2 years, which is incorrect as per IRDAI norms.
  4. Final Answer:

    Claims arising from self-inflicted injuries or attempted suicide after 2 years of policy inception → Option A
  5. Quick Check:

    Self-inflicted injury exclusion is limited to initial period, not indefinite.
Quick Trick: Self-inflicted injury exclusion applies only during first year, not beyond.
Common Mistakes:
MISTAKES
  • Assuming permanent exclusion for self-inflicted injuries beyond initial period.
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